Exam 13: Pain Management

The nurse teaches the patient progressive self-relaxation techniques.Which should the nurse implement first?

The nurse assesses a patient who has an epidural catheter for patient-controlled analgesia (PCA)on the second postoperative day.Which patient data does the nurse group together to establish the nurse's priority? (Select all that belong to the group.)

The nurse decides that collaboration with the healthcare provider is needed to review and possibly adjust the dose of analgesic for an 87-year-old patient.What is the rationale for this request?

The patient awakens at 3:00 AM requesting pain medication,but the nurse does not administer additional pain medication.What justifies the nurse's decision to withhold the medication?

MATCHING The nurse prepares to administer pain medication to a patient. Place the following nursing interventions in order, beginning with the initial action of the nurse to administer pain medication safely. -3. Step 3

The nurse assesses the patient who is 2 days postoperative to determine the need for continuing patient-controlled analgesia (PCA).Which information should the nurse use to decide that the patient is ready for oral administration of analgesia?

The nurse wants to use massage to promote relaxation.In which patient diagnosis would massage be potentially contraindicated?

The nurse plans care for four patients receiving heat therapy.Which patient admission diagnosis presents the highest risk of injury to an extremity?

The nurse massages the patient to promote relaxation.Which is a suitable intervention for the nurse to implement during the massage?

The nurse teaches the patient in ambulatory care to apply ice packs to an injured knee.What instructions should the nurse include in patient teaching?

In the postanesthesia care unit the nurse applies an ice bag to the patient's leg at the surgical site.Which therapeutic effect does the nurse expect from this treatment?

MATCHING The nurse prepares to administer pain medication to a patient. Place the following nursing interventions in order, beginning with the initial action of the nurse to administer pain medication safely. -1. Step 1

The patient has hypotension,receives as much opioid analgesia as the prescription allows,and continues to have difficulty sleeping at night because of pain.Which should the nurse implement to relieve pain and improve sleep?

The nurse prepares to administer patient-controlled analgesia (PCA) to a patient. Rank the nursing interventions in sequential order. -7. Step 3

The nurse prepares patient-controlled analgesia (PCA)for a postoperative patient in the postanesthesia recovery unit (PACU).To rule out contraindications to therapy,which should the nurse assess before the patient receives PCA?(Select all that apply.)

The nurse prepares to administer patient-controlled analgesia (PCA) to a patient. Rank the nursing interventions in sequential order. -8. Step 4

The nursing assistive personnel (NAP)reports that the patient is dizzy during a warm sitz bath.Which action should the nurse take before moving the patient?

MATCHING The nurse prepares to administer pain medication to a patient. Place the following nursing interventions in order, beginning with the initial action of the nurse to administer pain medication safely. -2. Step 2

The patient receives opioid analgesia with naproxen (Naprosyn)after a total abdominal hysterectomy.Which patient datum is the nurse's priority?

The nurse cares for several postoperative patients using patient-controlled analgesia (PCA)pain management with a combination of an opioid and a local anesthetic agent on the first postoperative day.Which patient should the nurse assess first?